Individual
ILONA KURPAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 W END AVE APT 8A, BROOKLYN, NY 11235-4812
(646) 409-6235
Mailing address
15 W END AVE APT 8A, BROOKLYN, NY 11235-4812
(646) 409-6235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306822
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F404241
NY
Other
Enumeration date
05/09/2014
Last updated
08/02/2024
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